OrganizationActive
First Ambulatory Surgery Center
NPI 1316712243 · Ambulatory Surgical Clinic/Center · Kokomo, IN
Provider details
- NPI number
- 1316712243
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shazia Siddiqui, Owner(765) 252-0828
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 S Washington St Ste a
Kokomo, IN 46901-4601
Phone: (765) 252-0828
Fax: (765) 471-3721
Street-level locationGet directions
Mailing address
107 S Washington St Ste a
Kokomo, IN 46901-4601
Registry dates
- Enumerated
- 2023-11-21
- Last updated
- 2023-11-21
- Certified
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.